robotic surgery - Manatee Memorial Hospital

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HEALTH NEWS from
SUMMER 2015
HEALTHCARE SYSTEM
TRANSORAL
robotic
surgery
Manatee Memorial
is first in the region
Also inside:
More comfortable
catheterizations
It’s all in the wrist
Come out and play!
There’s good news for
kids at The Mall at UTC
Otolaryngologist
Axay S. Kalathia, MD, is in
full control of the da Vinci®
robot, used to treat head and
neck tumors and sleep apnea
at Manatee Memorial Hospital.
Manatee Healthcare System
Salutes the Medical Staff Leadership at Our Hospitals
2015
Manatee Memorial Hospital
Medical Staff Leadership
Lakewood Ranch Medical Center
Medical Staff Leadership
John Peters, DO
Chief of Staff
Alan Miller, MD
Vice Chief of Staff
Stacey South, MD
Secretary
Aaron Sudbury, MD
Chief of Staff
Daniel Lamar, MD
Vice Chief of Staff
Jeffrey Rothfeld, MD
Treasurer
Ralph Gonzalez, MD
Chief of Medicine
Brian Hoban, MD
Chief of Surgery
Vinod Prasad, MD
Chief of Medicine
Joshua Kreithen, MD
Chief of Surgery
Teresa Rawe, DO
Chief of Clinical Services
John Ayres, MD
Member-at-Large
Jose Estigarribia, MD
Member-at-Large
Thomas Wilkinson, MD
Member-at-Large
Alessandro Golino, MD
Immediate Past Chief of Staff
www.manateememorial.com
206 Second Street East
Bradenton, FL 34208
941-746-5111
Joseph Scarano, MD
Chief of Pediatrics
Jennifer McCullen, MD
Member-at-Large
Federico Frias, MD
Secretary–Treasurer
Holly Shen, MD
Chief of Obstetrics & Gynecology
Silvio Tanev, MD
Chief of Clinical Services
Jason Okuhara, DO
Member-at-Large
www.lakewoodranchmedicalcenter.com
8330 Lakewood Ranch Blvd.
Bradenton, FL 34202
941-782-2100
FROM THE
CEO
IN TH
IS ISS
UE
IN THIS ISSUE
4
MAKING GOOD
HEALTH FUN
FOR KIDS
Lakewood Ranch Medical
Center’s play area opens at
The Mall at UTC
6
TRANSORAL
ROBOTIC SURGERY
Manatee Memorial is first
in the region
9
The possibilities of robotic surgery continue
to expand, and we’re pleased to announce
Manatee Memorial is the first hospital in the
region to offer a new robotic application.
Our story on page 6 will help you understand
the use of the da Vinci® Robotic Surgical System
for treatment of tumors of the throat, base of the
tongue and tonsils. The system is being used
to treat sleep apnea as well.
Bradenton Cardiology Center is in the news with transradial
catheterization, which offers more comfort for patients undergoing
diagnostic or interventional cardiac procedures. Patients especially like
being able to move around immediately, and usually go home as soon
as 30 minutes afterward. Read more on page 9.
As the summer sun characteristically warms up in south Florida, we
round out this Health News with a story on heat illness, how you can
prevent it and what to do if it happens. We hope you enjoy the next
few months, and may cool breezes find you wherever you go.
Kevin DiLallo
Group Vice President, Acute Care Division, Universal Health Services
CEO, Manatee Healthcare System
IT’S ALL IN THE WRIST
A more comfortable
cardiac catheterization
THE DOCTOR
10 ASK
Protect yourself during
Florida’s hot summer
www.manateememorial.com
Our hospital is proud to be promoting health
and wellness in our community. Take a look at
the story and photos on pages 4 and 5 to learn
more about the engaging ways Lakewood Ranch
Medical Center is promoting fun, active, healthy
play for children as well as adults through our
partnership with The Mall at University Town Center.
As we head into another season of outdoor
activities, it’s good to remember that the surgeons at the Orthopaedic
Spine and Joint Center are highly experienced in treating shoulder, knee
and hip injuries, as well as performing partial and total joint replacements.
Some of the doctors have treated the country’s top athletes. That’s an
excellent testament to their ability and can give residents and patients
great confidence about visiting us for any orthopedic injury, no matter
how small.
Enjoy your summer in good health!
www.lakewoodranchmedicalcenter.com
Richard Fletcher
CEO, Lakewood Ranch Medical Center
Manatee Healthcare System Health News 3
Katie Truxton, a Bradenton
mom, enjoys the new play
area with daughter Lexie
and son Tyler.
4 Manatee Healthcare System Health News
Making good health FUN!
Lakewood Ranch Medical Center is engaging with the community
in new and active ways.
T
he Lakewood Ranch Medical
Center Children’s Play Area was
unveiled when The Mall at University
Town Center first opened its doors in
the fall and has become popular with
mall visitors. The play area is a vibrant
part of the hospital’s partnership with
The Mall at UTC. “We’re working
together to create awareness about
the hospital and the many services
we provide to the community,” says
Lisa Kirkland, Marketing Director at
Lakewood Ranch Medical Center.
The play space boasts several play
elements that were designed to
represent different departments at
the hospital. One of the creative
climbing pieces is a friendly delivery
stork, named for the hospital’s
Women & Children’s Center, which
offers obstetrics as well as gynecology,
urology and surgical services. The
Women & Children’s Center at
Lakewood Ranch Medical Center
continually promotes good health
for moms and kids by offering health
and wellness classes, childbirth and
parenting preparation courses and
new parent support groups.
In addition to several wall activity
games, the 2,300-square-foot play
area includes 11 climbing elements
where children can stretch their
muscles and build their aerobic
capacity. Play pieces are coated
with a rubber-like material that
makes them soft, and under foot
is “squishy” safety flooring. “It’s a
happy space and a welcome indoor
play option for visitors and local
residents,” says Kirkland.
Adding a children’s element to the
interior gives The Mall at University
Town Center one more distinguishing
factor among malls in the area. It’s
also the only location within roughly
an hour’s drive of Bradenton/Sarasota
where visitors can find upscale shops
like Saks Fifth Avenue, Arhaus® and
Michael Kors®.
The mall boasts numerous popular
restaurants that serve everything
from sushi to steak. A destination in
itself, the shopping complex forms
its spaces around palm trees and
tropical plants, and light shows at
night can be viewed through the
expansive glass roof overhead.
When parents watching their
children in the play area look up,
they see a 55-inch television screen,
displaying a video loop of the
services at Lakewood Ranch Medical
Center. “Many people comment
about the hospital’s presence
throughout the mall and we continue
to receive overwhelmingly positive
remarks about our Children’s Play
Area,” says Kirkland. “I’m happy we’re
here. This is a terrific way to reach
residents in the two counties the
hospital serves – Manatee and
Sarasota – in a valuable way.” ■
HEALTHY WALKERS
The Mall at UTC is an ideal
location for Lakewood Ranch
Medical Center’s Healthy Walkers,
a free, individually paced program
that encourages activity, and where
participants can earn rewards
for their miles. Register at The
Mall at University Town Center
Customer Service counter or by
calling 941-552-7000.
WALK & TALK
Every third Thursday of the month,
Lakewood Ranch Medical Center features
seminars open to the public in front of Macy’s®
Lower Court, from 9 to 9:30 a.m. Enjoy live
presentations from physicians on a wide range of health topics.
Light refreshments are served. For a list of upcoming topics,
go to www.lakewoodranchmedicalcenter.com/walkers.
Manatee Healthcare System Health News 5
TRANSORAL ROBOTIC
SURGERY (TORS) takes off
Manatee Memorial Hospital is the first in the region to offer
robotic technology for safer, simpler surgery of the head,
neck and base of the tongue.
Axay S.
Kalathia,
MD
6 Manatee Healthcare System Health News
O
perating in the throat posed
problems for surgeons in the
past. “If a patient had a tumor on
the back of the tonsils, for example,
we’d have to make an incision in
the neck and come up from the
inside,” says Axay S. Kalathia, MD,
an otolaryngologist practicing at
Manatee Memorial Hospital. “Or,
we’d have to split the jawbone and
then reconstruct it after surgery.”
Transoral Robotic Surgery (TORS),
using the da Vinci® Robotic Surgery
System, has changed all that.
TORS lets surgeons operate on
tumors of the throat, base of the
tongue and tonsils through the
mouth, eliminating the need for
an invasive open incision. By
accessing the area with the fine,
slim instruments of the da Vinci
system, tight nooks and crannies
of the throat are easy to reach.
Also, the added precision means
fewer patients need to undergo
post-operative treatment.
“Before, we would automatically
prescribe radiation and
chemotherapy for patients with
throat cancer,”says Dr. Kalathia.
“Now, we can really see that we’re
getting all of the cancer out.* Some
patients may not need radiation
and chemotherapy at all, while
others may need a reduced dose.”
TORS for sleep apnea
Robotic technology can also
simplify surgery for patients
diagnosed with sleep apnea,
affecting an estimated 12 to 18
million U.S. adults.** People with
sleep apnea can have as many
as 400 periods a night when
their throat closes and they stop
breathing. Causing low oxygen
levels that can harm internal
organs, sleep apnea is linked to
heart and liver disorders, high
blood pressure and memory
problems.
A continuous positive airway
pressure (CPAP) machine is firstline treatment for sleep apnea.
But for patients who can’t tolerate
CPAP, TORS can be an option.
“TORS lets us more accurately
remove excess tissue at the base
of the tongue, resulting in less
of an obstruction that might
contribute to sleep apnea,”
says Dr. Kalathia, who is boardcertified in otolaryngology and
trained in robotic surgery. He
wants the community to be
aware that TORS is available at
Manatee Memorial. “This is a
very powerful tool that can
improve care in the management
of cancer and sleep apnea
patients,” he says. ■
Progress in treatment
of throat cancer
The objective regarding
tumors in the throat and base
of the tongue has always been
to treat the cancer without
adversely affecting speech,
swallowing and vocal abilities.
Because open surgery can
produce many complications,
attention in recent years turned
to transoral robotic surgery
(TORS). TORS has been shown
to “improve functional and
aesthetic outcomes without
worsening survival” for patients.
According to one study, TORS
“allows a clearer and wider
view of the surgical field and
better 3-D visualization …
enabling access to the tumor
via a smaller approach.”
Acta Otorhinolaryngol Ital: Transoral
robotic surgery (TORS) for tongue base
tumours; G. Mercante, P. Ruscito, R. Pellini,
G. Cristalli, and G. Spriano, Department of
Otolaryngology Head and Neck Surgery,
Regina Elena National Cancer Institute,
Rome, Italy; 2013 Aug; 33(4): 230–235.
Read our press release about TORS for treatment of cancer
and sleep apnea at www.manateememorial.com/tors.
*Individual results may vary. There are risks associated with any surgical procedure.
Talk with your doctor about these risks to find out if robotic surgery is right for you.
**National Heart, Lung and Blood Institute; U.S. Department of Health & Human Services
Manatee Healthcare System Health News 7
An athlete’s
(or weekend warrior’s)
best friend
Whether you’re playing tennis or painting the garage, it’s reassuring to know the arthroscopic
surgeons with the Orthopaedic Spine and Joint Center at Lakewood Ranch Medical Center.
A
rthroscopy is a technique for examination
and surgical treatment that involves a tiny
camera inserted into a patient’s body through a very
small incision near a joint. By providing the surgeon
with a panoramic view of the injury, the camera can
increase precision during operations. The small
incisions help patients experience less pain and
sometimes an accelerated rehabilitation.
Orthopedic surgeon Daniel
Lamar, MD, Vice Chief of Staff at
Lakewood Ranch Medical Center,
who specializes in hip, knee and
shoulder surgery as well as sports
Daniel Lamar, MD
medicine, says an arthroscope
Orthopedic Surgeon
is often used for impingement –
when something interferes with the smooth ball-insocket motion of the hip. It’s also used for conditions
such as “loose bodies.” “This is when a fragment
of cartilage comes loose maybe as a result of
trauma, and is comparable to ‘gravel in your
engine.’ Removing the fragment is an appropriate
application of arthroscopic surgery,” says Dr. Lamar,
adding that the camera’s high-definition view is a
significant advantage.
Ryan Pflugner, MD, an orthopedic
surgeon who also practices at
Lakewood Ranch Medical Center
and is a specialist in sports surgery,
agrees. “You can only see an injury
Ryan Pflugner, MD
in its entirety with a scope,” he says.
Orthopedic Surgeon
“It’s the only way to know exactly
what’s going on.” Dr. Pflugner, who specializes in
shoulder surgery, says he performs 75 to 80 percent
of shoulder procedures and fixes most rotator cuff
tears – a common injury in the older population –
with this technique.
In addition to serving the area’s general population,
both Drs. Lamar and Pflugner work with athletes
who may be traveling through Bradenton. Dr. Lamar
has served as team doctor for the Tampa Bay
Buccaneers, Baltimore Orioles, Pittsburgh Pirates,
U.S. National Soccer Team and for IMG Academy.
Easily one-third of Dr. Pflugner’s patients are
athletes. “This area is a vibrant community with lots
of activities and athletics, and is fortunately served
by skilled orthopedic surgeons who have a penchant
for arthroscopic and limited-incision approaches,”
says Dr. Lamar. “The community benefits by involving
such a high level of professionalism.” ■
To learn more about our orthopedic services, visit
www.lakewoodranchmedicalcenter.com/ortho. To speak
with an Orthopedic Care Coordinator or schedule a tour of
the Orthopaedic Spine and Joint Center, call 941-782-2663.
8 Manatee Healthcare System Health News
Adding comfort to catheterizations
FOR SOME INTERVENTIONAL CARDIAC CATHETERIZATION PROCEDURES,
TRANSRADIAL RANKS HIGH IN SAFETY AND CONVENIENCE.
Comfort of patients is important to James Nguyen, MD, a member of the Bradenton Cardiology
Center team. That’s why in 90 percent of the cardiac interventions he performs, he inserts the
catheter through the radial artery in the wrist in a procedure called transradial catheterization. “We
perform a lot of interventions this way because the risk of hemorrhaging is minimal. Patients are
usually able to sit up and walk immediately, and leave in as little as 30 minutes,” says Dr. Nguyen.
“On the other hand, a catheterization through the femoral artery in the groin – the standard until
recently – can be painful and requires patients lie down for several hours afterward.”
Catheterizations might be performed in diagnosis, where a cardiologist evaluates heart function.
They’re also used for interventional cardiac procedures, such as balloon angioplasty, where a
catheter is inserted through the vessel to a blocked artery, a balloon is used to open the
blocked vessel and a stent is sometimes put in place to keep the artery open. “Because our
staff includes doctors who are both general cardiologists and interventionists, if we perform
a diagnostic catheterization and see something, we can fix it right away; there’s no delay in
treatment,” says Dr. Nguyen.
Whether someone is undergoing diagnosis, intervention or another kind of treatment,
Dr. Nguyen emphasizes the importance of teamwork for extending safety and comfort to
all aspects of the patient’s experience. “I work closely with 10 other outstanding physicians
and we always talk to each other,” he says. “When you choose us, you’re not
James Nguyen,
choosing one doctor; you’re seeing 11 doctors, who are all experienced
MD
and highly knowledgeable.” ■
Bradenton Cardiology Center offers general and interventional
cardiology, including treatment of lipid irregularities, hypertension
and arrhythmias, as well as cardiac screenings. To learn more
or request an appointment, call 941-748-2277 or visit
www.bradentoncardiology.com.
Daniel E. Friedman MD, FACC, FHRS
Srinivas Iyengar, MD, FACC
Bruce R. Lipskind, MD, FACC
S. Jay Mathews, MD, FS, FACC
Aberto E. Montalvo, MD, FACC
James Nguyen, MD
Eugene M. Parent, MD, FACC
Anthony T. Pizzo, MD, FACC
Jeffrey M. Rothfeld, MD, FACC
Ballard F. Smith, MD, FACC
George Thomas, MD, FACC
Manatee Healthcare System Health News 9
ASK THE
doctor
Protect yourself from heat and UV rays
Q: What should I do if
I’m with someone who
has heat stroke?
Summer heat may be
uncomfortable, but it can
also be dangerous, causing
heat-related illnesses like
exhaustion and heat stroke.
Without quick response and
cool-down, a person’s brain
and vital organs can swell,
leading to brain damage,
kidney failure and other
complications. Matthew
Nessetti, MD, JD (Can), ABMP,
ABFM, with All Care Medical
Center, and Lisa Shannon, DO,
with Manatee Primary Care
Associates, offer answers to
some common questions.
Heat stroke is the most serious
kind of heat-related illness and
is marked by a body temperature
of 104 degrees or higher. You
may also notice mental confusion,
coma, skin that’s hot, or damp skin
if the heat stroke is accompanied
by physical exertion. The first
things to do are to move the
person to a shaded or airconditioned spot and call 9-1-1.
In the meantime, cool the person
by fanning, spraying with cool
water or by covering him or her
with damp sheets. If the person
is able to drink, offer cool water.
Avoid anything containing alcohol
or caffeine.
Q: Should I stay indoors
when it’s really hot?
It’s best to spend time inside
or at least limit your exposure
to the sun. If air conditioning is
not available, stay on the lowest
floor of the building (if possible).
Postpone outdoor games and
avoid strenuous work during the
warmest time of the day – 10 a.m.
to 4 p.m. Take frequent breaks
and rely on the buddy system if
you’re working outside.
Q: What precautions are
best if I need to go out?
Dress in loose-fitting, lightweight
clothing that covers your legs
and arms. Choose light-colored
pants, shirts and dresses,
since dark colors absorb heat.
Protect exposed skin by wearing
sunscreen with an SPF rating of at
least 15, and shade your face and
head with a wide-brimmed hat.
Q: How can I reduce my
risk of skin cancer from
ultraviolet rays?
Since the sun’s ultraviolet (UV)
rays can reach you on cloudy
and hazy days, UV protection
isn’t just for the beach, or just
for summer. UV rays are
intensified when reflected off
water, cement, sand and snow.
The best protection is to stay in
the shade whenever possible;
wear clothing that provides full
coverage; wear a hat, sunglasses
and sunscreen; and avoid
indoor tanning. ■
Diabetes can make it harder for your body to cope with high
heat and humidity. If you have diabetes, register for Manatee
Memorial’s Diabetes Self-Management and Education Class.
For information, call 941-708-8100.
10 Manatee Healthcare System Health News
AWARDS AND
recognitions
Lakewood Ranch Medical Center CEO Richard Fletcher (far left)
and Manatee Healthcare System CEO Kevin DiLallo (far right)
congratulate winners of Manatee Chamber of Commerce’s
Champions of Healthcare Awards. From left: Vernon DeSear,
Vice President, Manatee Healthcare System (Individual of Merit
Award); George Thomas, MD, Bradenton Cardiology Center
(Lifetime Achievement Award); and Katie Powers, RN, Manatee
Memorial Hospital/MOMM’s Place (Nurse Award).
Chuck Whittington from the Orthopedic Floor at Manatee
Memorial Hospital won the first Daisy Award for Extraordinary
Nurses, a nationwide program that celebrates exceptional clinical
skill and compassionate care. Nurses receive nominations from
patients and their families. Pictured with Chuck are nominees
(from left to right): Emily Vorhies, Claire Gipson, Lynn Taylor and
Nicole Goneau.
We are proud to announce that Manatee Memorial Hospital
is now an EPA ENERGY STAR® Certified Building. This means
that the building uses 35 percent less energy and generates
35 percent fewer greenhouse gas emissions than similar buildings
across the nation. A big “thank you” goes to the Engineering
and Maintenance staff including, from left, Charles Keeler,
Mike Lorraine, Clayton Powell, Mike Bollom and Kevin Peterson.
Pictured in front of the Mega Heart at the Heart Smart Event
February 7 at The Mall at UTC are (left to right): Lisa Kirkland,
Director of Marketing, Lakewood Ranch Medical Center;
Jason Okuhara, DO, Lakewood Ranch Cardiology; Emmy Satya,
MD, FACC, Lakewood Ranch Cardiology; Judy Young, CNO,
Lakewood Ranch Medical Center and Richard Fletcher, CEO,
Lakewood Ranch Medical Center.
Lakewood Ranch Medical Center’s Volunteer of the Year
Award winner was announced at the hospital’s Volunteer Awards
Luncheon, held annually in April to show appreciation for all of
those who contribute their time and talents. Pictured (from left
to right) are: Richard Fletcher, CEO, Lakewood Ranch Medical
Center; Pam Lorente, Lakewood Ranch Medical Center Volunteer
of the Year; Jo Ann Dillon, Manager of Human Resources and
Volunteers; and Lauren Machowski, Human Resources Generalist.
Staff had a busy morning visiting with attendees at the
recent Health and Wellness Expo hosted by Lakewood Ranch
Medical Center. Pictured from left to right: Leanna Huff,
Lakewood Ranch Cardiology; Reed Holland, DO, Lakewood
Ranch Medical Group; and Jason Okuhara, DO, Lakewood
Ranch Cardiology.
Manatee Healthcare System Health News 11
PRSRT STD
U.S. POSTAGE
PAID
PERMIT NO. 322
PONTIAC, IL
Manatee Memorial Hospital
206 Second Street East
Bradenton, FL 34208
Application
Please choose the membership for which you are applying:
One Year: ❏ Single: $15.00
Lifetime: ❏ Single: $45.00
“Senior”
means privilege!
❏ Couple $25.00
❏ Couple $70.00
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The Senior Advantage Program of Manatee Healthcare System
is all about you. If you’re age 50 or older, Manatee Memorial
Hospital and Lakewood Ranch Medical Center offer services
designed to enhance your health and well-being.
We are happy to continue our partnership with the Senior
Enrichment Center at Renaissance on 9th, operated by Meals on
Wheels Plus of Manatee, enabling us to offer you more seminars
and events to enjoy during the year.
We have added a “What’s Happening” recorded announcement line
for Senior Advantage members to keep you up-to-date on seminars,
screenings, social activities and events. Just call 941-745-7308!
What’s more … if you’re a patient at Manatee
Memorial Hospital or Lakewood Ranch Medical
Center, your Senior Advantage benefits include
the possible waiver of the Part A
Medicare deductible for
members age 65 and older.
For more information,
please call 941-745-7548.
Please make your check payable to
“Senior Advantage” and mail to:
Senior Advantage Office
206 Second Street East
Bradenton, FL 34208
Connect
WITH US!
www.manateememorial.com
www.lakewoodranchmedicalcenter.com
HEALTH NEWS FROM MANATEE HEALTHCARE SYSTEM
Kevin DiLallo
Group Vice President, Acute
Care Division, Universal Health
Services; CEO, Manatee
Healthcare System
Richard Fletcher
CEO, Lakewood Ranch
Medical Center
Vernon DeSear
Vice President, Manatee
Healthcare System
Betty Chambliss
Director of Marketing and
Communications, Manatee
Memorial Hospital
Lisa Kirkland
Director of Marketing
and Business Development,
Lakewood Ranch
Medical Center
Information in Health News comes from a wide variety of medical experts. If you have any concerns or
questions about specific content that may affect your health, please contact your healthcare provider.
Models may be used in photos or illustrations. Any opinions expressed by an author whose article
appears in this publication are solely the opinions of the author and not necessarily reflect the views of
Manatee Healthcare System, Manatee Memorial Hospital, Lakewood Ranch Medical Center or Universal
Health Services, Inc. Physicians mentioned in this publication are independent practitioners who are
not employees or agents of Manatee Healthcare System. The hospital shall not be liable for actions or
treatments provided by physicians. ©2015. All rights reserved. Printed in the U.S.A.
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remove your name and address from our mailing list, please contact Manatee Healthcare System’s Marketing Department at 941-745-7545; the Direct Marketing Association, Farmingdale, NY; or log on to http://www.dmachoice.org.